DATE: June 16, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment No. 1 to Agreement with Pacific Clinics for Vocational and Educational Services
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-232 with Pacific Clinics to incorporate Behavioral Health Services Act and Medi-Cal billing requirements, effective July 1, 2026, with no change to the term of July 1, 2025, through June 30, 2030, and increasing the maximum by $1,409,760 to a total of $6,552,580.
REPORT
Approval of the recommended action will incorporate Behavioral Health Services Act (BHSA) and Medi-Cal billing requirements into Pacific Clinic's agreement. The recommended amendment will also add Medi-Cal billable services revenue into the existing agreement. Pacific Clinics provides vocational and educational services using the Individualized Placement and Supports evidence-based practice to persons living with serious mental illnesses. This item is countywide.
ALTERNATIVE ACTION(S):
If the recommended action is not approved, the Department would be out of compliance with Behavioral Health Services Act requirements.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum of this Agreement ($6,552,580) will be funded with Behavioral Health Services Act funds, Medi-Cal Federal Financial Participation, and Mental Health Realignment. Sufficient appropriations and estimated revenues will be included in the Department's Org 5630 FY 2026-27 Recommended Budget and will be included in future budget requests for the term.
DISCUSSION:
On June 10, 2025 the Board executed Agreement No. 25-232 with Pacific Clinics to provide vocational and educational services using the Individualized Placement and Supports (IPS) evidence-based practice for persons with serious mental illness.
The California State Department of Health Care ...
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